بررسی اثرات کرایو آنالژزی در کاهش درد و پارستزی پس از استرنوتومی میانی متعاقب عمل جراحی پیوند عروق کرونر
Authors
Abstract:
Introduction: Control of post thoracotomy pain is particularly important in prevention of post operative respiratory complications. Several methods are proposed for control of postoperative pain. Cryoanalgesia by freezing of intercostal nerves is able to providing long term pain relief in post operative period which probably results in cutaneous sensory changes. Methods: This clinical trial study was done on 124 patients who underwent CABG surgery. Patients were randomly divided in two groups control group (group I) and study group (group II). In study group cryoanalgesia was applied intraoperatively on the intercostal nerves. All of the patients received appropriate analgesia on demand in postoperative period. Pain in LIMA harvesting site and sternum was measured by visual analogue pain score before discharge, one and three months following cryoanalgesia. In all of the patient’s, presence of paresthesia was evaluated. The amount of administered analgesics (narcotic, opium, indomethacin) was noted daily. Data of this investigation was analyzed and evaluated using SPSS 11.5 software. Results: Pain score of sternum was higher in study group before discharge and was lower at one and three months after operation than the control group that was statistically significant (P=0.01). Pain score of LIMA region before discharge was higher, at one month post operation was equal and at three months post operative was lower than the control group (P=0.045). Use of morphine and opium was lower (P=0.017) and use of indomethacin was higher in the cryoanalgesia group that was statistically significant (P=0.001). Incidence of paresthesia was lower in the study group (P=0.001). Conclusion: It is proposed that cryoanalgesia is a safe and effective method for reduction of pain and paresthesia and need for analgesics following CABG operation.
similar resources
بررسی تأثیر کرایو آنالژزی بر میزان درد پس از توراکوتومی
Background: The present study was conducted to determine the efficacy of cryoanalgesia and its complications in patients with post-thoracotomy pain, operated in Masih-Daneshvari hospital in 2001-2. Materials and methods: Sixty patients entered this clinical trial. After thoracotomy, patients were equally distributed in two groups of control and cryoanalgesia. Nerve freezing was carried out for...
full textتاثیر آموزش قبل از عمل بر میزان احساس درد بیماران تحت عمل جراحی پیوند عروق کرونر
خلاصههدف. مطالعه حاضر با هدف تعیین تاثیر آموزش چهره به چهره قبل از عمل بر میزان درد بیماران تحت عمل جراحی بای پس عروق کرونر انجام شد.زمینه. درد از مشکلات پس از جراحی بای پس شریان کرونری است. جهت تسکین درد، استفاده از روش های غیردارویی بر روش های دارویی ترجیح داده می شوند.روش کار. در این مطالعه نیمه تجربی، 72 بیمار تحت عمل جراحی پیوند عروق کرونر که واجد شرایط شرکت در پژوهش بودند، به طور مساوی در...
full textبررسی ارتباط بین آگاهی پرستاران از درد با رضایت بیماران تحت عمل جراحی پیوند عروق کرونر از تسکین درد
Background & Aim: The aim of this study was to investigate the relationship between nurses&apos knowledge about pain and satisfaction from pain relieving procedures among postoperative CABG patients in selected Tehran medical university hospitals. Methods & Materials: In this cross-sectional study, 100 nurses were recruited from the ICU Open heart. Also, 200 patients were selected from whom ...
full textبررسی تاثیر ماساژ بازتابی پا بر درد بیماران تحت عمل جراحی بای پس عروق کرونر
Aims and Background: One of the problems that patients with coronary artery bypass surgery encounter is pain that can have undesirable consequences. This research aims to investigate the effects of foot reflexology massage on pain in patients undergoing coronary artery bypass surgery. Materials and methods: This clinical trial was performed on 52 patients after coronary artery bypass surgery. D...
full textتاثیر سرمادرمانی بر شدت درد توراکس بیماران تحت عمل جراحی پیوند عروق کرونر
زمینه و هدف: پس از عمل جراحی قلب باز با توجه به برش اجزای آناتومیک دیواره سینه، بیماران دردهای شدیدی را تجربه می‌کنند. با توجه به اینکه سرمادرمانی یکی از ساده‌ترین و ارزان‌ترین روش‌های غیردارویی تسکین درد است؛ مطالعه حاضر با هدف تعیین تاثیر سرمادرمانی بر شدت درد توراکس بیماران تحت عمل جراحی پیوند عروق کرونر انجام شد. مواد و روش‌ها: کارآزمایی بالینی حاضر بر روی50 بیمار تحت عمل جراحی پیوند عروق ک...
full textMy Resources
Journal title
volume 17 issue 3
pages 115- 121
publication date 2009-07
By following a journal you will be notified via email when a new issue of this journal is published.
No Keywords
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023